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1881018547
JACKIE REYNOLDS
SAN BERNARDINO, CA
NPI
1881018547
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-02-14
Last Update Date
2014-02-14
Business Address
-- JACKIE REYNOLDS
1135 N D ST
SAN BERNARDINO, CA 92410-3523
Phone number: 909-888-6956
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Mailing Address
-- JACKIE REYNOLDS
1135 N D ST
SAN BERNARDINO, CA 92410-3523
Phone number: 909-888-6956
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